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<?php session_start(); require_once('../LoginManager.php'); require_once('../DBManager.php'); include('menu.php'); include('header.php'); if(isset($_POST['signup'])) { LoginManager::labregisteraccount("$_POST[Name]","$_POST[user_id]","$_POST[numbers]","$_POST[enteredby]"); } ?> <!DOCTYPE html> <html lang="en"> <script> <script src="https://code.jquery.com/jquery-2.1.1.min.js" type="text/javascript"></script> <script> function checkAvailability() { $("#loaderIcon").show(); jQuery.ajax({ url: "account_check.php", data:'uname='+$("#user_id").val(), type: "POST", success:function(data){ $("#user-availability-status").html(data); $("#loaderIcon").hide(); }, error:function (){} }); } </script> <script> function isNumber(evt) { evt = (evt) ? evt : window.event; var charCode = (evt.which) ? evt.which : evt.keyCode; if (charCode > 31 && (charCode < 48 || charCode > 57)) { alert("Please enter only Numbers."); return false; } return true; } function ValidateNo() { var phoneNo = document.getElementById('numbers'); if (phoneNo.value == "" || phoneNo.value == null) { alert("Please enter your Mobile No."); return false; } if (phoneNo.value.length < 10 || phoneNo.value.length > 10) { alert("Mobile No. is not valid, Please Enter 10 Digit Mobile No."); return false; } return true; } </script> <meta http-equiv="content-type" content="text/html;charset=UTF-8" /> <title> Pt Signup</title> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <link rel="stylesheet" href="new2.css"> </head> <body> <div class="content-wrapper"> <section class="content-header"> <form name="signup" method="post" name="submit"> <h3><i class="fa fa-angle-right"></i> Billing & Accounts Access </h3> <div class="account-details"> </div> <?php $sqlpatient= "SELECT * FROM admin WHERE adminid='$_GET[adminid]'"; $qsqlpatient = mysqli_query($con,$sqlpatient); while($rspatient=mysqli_fetch_array($qsqlpatient)) { echo "<input type='hidden' name='adminid' id='adminid' value='$rspatient[adminid]'></td>"; } ?> <label for="item"> Name<span>*</span></label> <input class="input100" type="text" name="Name" placeholder="Enter your Name" required> <label for="item"> Mobile Number<span>*</span></label> <input type="text" name="numbers" id="numbers" onkeypress="return isNumber(event)" required> <div id="frmCheckUsername"> <label for="item"> Email id<span>*</span></label> <input onclick="ValidateNo();" class="input100" type="email" name="user_id" id="user_id" placeholder="Enter Your Email id" class="demoInputBox" onBlur="checkAvailability()" required> <span id="user-availability-status"></span> <p><img src="LoaderIcon.gif" id="loaderIcon" style="display:none" /></p> </div> <button type="submit" name="signup">Submit </button> </form> </body> </html>